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Bilateral hypoplastic calcanei.

C T Mehlman1, D R Dickens, M B Menelaus

  • 1Grandview Hospital and Medical Center, Dayton, Ohio.

Journal of Pediatric Orthopedics
|May 1, 1991
PubMed
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A rare bilateral calcaneal hypoplasia, a condition affecting the heel bones, was observed in an infant. This congenital anomaly presented with mild gait issues in childhood but had minimal long-term impact.

Area of Science:

  • Orthopedics
  • Pediatric Radiology
  • Developmental Biology

Background:

  • Congenital anomalies of the foot and ankle are diverse, requiring accurate diagnosis and understanding of their impact on development.
  • The calcaneus, or heel bone, is crucial for weight-bearing and gait, making its anomalies potentially significant.
  • Bilateral hypoplasia, a condition of underdevelopment affecting both sides, presents unique clinical considerations.

Observation:

  • A case study of a 2-month-old female infant with a previously undescribed anomaly of bilateral calcaneal hypoplasia.
  • The hypoplasia involved the posterior half of each calcaneus.
  • The child achieved developmental milestones for standing and walking within typical ranges, albeit with slight delays.

Findings:

  • At age 5 years, the patient exhibited a mild in-toed gait, which was correctable with passive dorsiflexion.

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  • The primary functional limitation reported was difficulty with footwear.
  • Radiographic and clinical details of this specific calcaneal anomaly were documented.

    • Implications:

    • This case expands the spectrum of known calcaneal congenital anomalies.
    • Understanding such anomalies aids in predicting potential functional outcomes and management strategies.
    • Further research into the etiology of this specific calcaneal hypoplasia is warranted.